Active NPI
Monica Espinoza Southard, MA BCBA
- Behavior Analyst
- Winston Salem, NC
National Provider Identifier
1225578149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-54832
- Practice address
- 1420 Plaza Dr
Winston Salem, NC 27103-1470 - Phone
- (336) 560-7878
- NPI assigned
- Feb 24, 2017
- Last updated
- Jan 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-54832 | NC | Primary |
Addresses
Primary practice location
1420 Plaza Dr
Winston Salem, NC 27103-1470
Mailing address
1595 Henley Dr
Asheboro, NC 27205-7842
Other practice location 1
421 Fayetteville St Ste 1100
Raleigh, NC 27601-3000
Phone (419) 306-4884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704585600000",
"number": "1225578149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 HENLEY DR",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272057842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 PLAZA DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031470",
"telephone_number": "336-560-7878"
}
],
"practiceLocations": [
{
"address_1": "421 Fayetteville St Ste 1100",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276013000",
"country_code": "US",
"telephone_number": "419-306-4884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOUTHARD",
"first_name": "MONICA",
"middle_name": "ESPINOZA",
"credential": "MA BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-24",
"last_updated": "2024-01-07",
"certification_date": "2024-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1-21-54832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
- Wayne M Sotile, PH.D.
- Elizabeth Joan Soto, PA
- Candice Rae Sotriffer, M.A. ED.S LPC
- South Park Family Pharmacy LLC (South Park Family Pharmacy)
- John K Southard Jr., M.D.
- Southerland Treatment and Rehab(Star) Counseling&Consulting SVCS, PLLC
- Timeka A Southerland, LPC
- Southern Assisted Living, LLC. (Brookdale Reynolda Road)
- Southern Home Care Services, Inc.
- Betsy W Southern, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.